Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | 38MC00507000 | NJ |
NPI | 1356427751 |
---|---|
Provider Name | Dr. William K Yu |
First Address | Englewood Cliffs, NJ 07632-2417 |
Second Address | Englewood Cliffs, NJ 07632-2417 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/10/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
YU901328 | (02) | NJ |